Caries Detection for Calcified canals
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Authors have been credited|
for the individual posts where they are.
- www.rxroots.com Photos courtesy of Bill Watson - Sashi Nallapati
From: Sashi Nallapati
Sent: Monday, August 07, 2006 9:11 PM
Subject: [roots] calcified canals
Since i left the program here are all the cases that i treated that are
calcified i would not do any access without the dam unless its
a calcified anterior tooth or round house bridge for orientation.
all these cases i made my access and found the canal ,then placed the
dam. All these cases had prior accesses by clinicians that had no
business doing what they did. i need to do a case selection seminar
Munce burs are good burs that can help you get deeper in the canal
without blocking your access. I used them in these cases with good
results. - sashi nallapati
Hi Sashi, Do you use these burs in a crown-down (large to small size)
fashion? How do you compare using the burs vs. ultrasonic troughing? - Tony
hi tony , i used the smallest size in these cases as the accesses were
already made by the referring dentists. these are faster compared to the
ultrasonics. and so far i find them not blocking my vision while working .
From: Peter D. Cancellier, DDS
Sent: Tuesday, July 10, 2001 6:17 AM
Sometimes the dye is darker (where there is more protein) at a point
along the line.
That is where I try to penetrate with a file first.
From: Bill Watson
Sent: Monday, July 09, 2001 4:07 PM
>Bill and Ben,
>As you know, I like the dye. Sometimes it can make a difference when
you are not able to penetrate. I don't see a problem with the dye
stealing light either. Most of the time it isn't needed, but it works
for me. Pete
As you know, I like the dye.
I did not know.
Sometimes it can make a difference when you are not able to penetrate.
Don't know if I can go with you on this one. Do you have any pic's that
show the dye usefulness when there is not a white dot/line.
I don't see a problem with the dye stealing light either.
I'll go with you on this one. Here is one case that I did today.
Sorry about the slightly out-of-focus dye pic (I thought it might help
make my argument better.)
From: "Joseph Dovgan"
Sent: Tuesday, July 10, 2001 12:28 AM
I'm interested. I'm using Caries-D-Tect and sure would like to do a side by
side comparison. I didn't realize it was in my sample kit from the conference.
From: "Danny O'Keefe"
Sent: Tuesday, July 10, 2001 7:12 AM
Subject: [roots] Re: Caries Detection for Calcified canals - Kim Bleiweiss
Let's see the white lines in the microscope. Thanks,
Danny O'Keefe, D.D.S.
From: Peter Cancellier
Sent: Monday, July 09, 2001 7:59 PM
Bill and Ben,
As you know, I like the dye. Sometimes it can make a difference when you are not able
to penetrate. I don't see a problem with the dye stealing light either. Most of the
time it isn't needed, but it works for me. - Pete
From: Benjamin Schein
Sent: Monday, July 09, 2001 6:50 PM
I would tend to agree with Bill. Stains are not very helpful. The big problem with
locating calcified orifices is when there is irritation or tertiary dentin covering
the orifice/isthmus, once you get rid of it under the scope, the stain is probably
somewhat of an obstacle. Remember..we are not using transmitted light but reflected
light. Leaving NaOCL for a while in the chamber and the bubbles can sometimes help
more. I wonder if Gary has looked at tertiary dentin with the Scanning Electron
From: "Yosef Nahmias"
Sent: Monday, July 09, 2001 7:18 PM
And the white dot (dentin debris that acumulate at the orifice) is
From: Bill Watson
Sent: Monday, July 09, 2001 5:23 PM
I'd volunteer to help out. My personal opinion and experience is that under the scope
the dyes are not useful. I can post pic after pic of the white-line road map that
lead to canals. That white line is a very nice contrast to the gray furcal dentin and
more yellow circumfurcal dentin. They dyes, being dark don't add that much and can
sometimes soak up already strained light sources that aren't xenon.
Just my opinion. I can certainly furnish the white line orifice/isthmus info. The
truth of the matter is that under the scope you can just about see every thing.
From: Joseph Dovgan
Sent: Sunday, July 08, 2001 11:59 AM
Kim, You could choose 10 folks, but with this, since it's
so inexpensive, I'd shoot for 20 or more. Just ask for
volenteers and have them email shipping address to ya. If
you want me to take charge, just ask. Joey D
From: Uziel Blumenkranz
Sent: Sunday, July 08, 2001 8:39 AM
I hace been using sable seek green, good results, beautiful turquoise color with
sodium hypochlorite. Will stain darker at entrance of cacified canals.
From: Kenneth S. Serota
Sent: Saturday, July 07, 2001 8:17 PM
In the realm of cyberadvocacy, Kimster, talk to Joey D, our resident cyberadvocate,
let him choose 10 or so folks to try out Sable Seek Red and Green as a means of
detecting canals. Folks have to take pictures and forward them to ROOTS. Let the
games and endopinions begin in earnest (not the Jim Varney movies, may he rest in
peace). - kendo
From: Glenn van As
Sent: Saturday, July 07, 2001 8:10 PM
Another thing Yosi showed was that in Calcified cases he frequently uses caries
detector in the canals and it sometimes stains the orifice of the canal.
You might want to try that if you get into trouble. Take frequent radiographs to make
sure you are not going off center as well.
I too would try the endo.....no guarantees and and tell the patient you will stick to
you part of the body if he sticks to his! - Glenn
"sasidhar dr nallapati" wrote in message news:35086@roots...
thanks John ,i may go after it with a vengeance ,only after explaining the
risks involved wit the patient.he is a gyneacologist and sure I don't wanna
mess with him. - sashi nallapati
From: John J. Stropko, D.D.S.
Date: Saturday, July 07, 2001 4:50 PM
Subject: [roots] Re: if you not tired as yet,need advise
Just say a prayer, start the RCT, and see if you can see any color
variations as you begin the access. Might consider selective anestesia to
numb just tissue. the patients response (if not too uncomfortable) might
help you find canal. Of course, this is an option, depending on the pain
threshold of the patient. Then, try to picture the axial inclination of
the root and take several progressive X-rays, at different angles, to be sure
you are centered and not "drifting" on way or the other. You might get
lucky and do it without a scope. If you perf, you can then always refer
for an implant.
Remember, "God, DDS gave your patients a set of teeth, and they didn't hold
up"! Just give it your best shot. You can always "take it out"! Good luck!